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| Effect of pelvic floor therapy for women after vaginal delivery by external magnetic wave on their pelvic floor muscle function recovery |
| 1. The First People Hospital of Xiangshan County, Ningbo, Zhejiang Province, 315700；2. The Affiliated Hospital of Medical School of Ningbo University |
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Abstract To explore the effect of pelvic floor therapy for women after vaginal delivery by external magnetic wave on their pelvic floor muscle function recovery. Methods: A total of 102 women with vaginal delivery in hospital were selected and were divided into two groups(51 cases in each group) by the random number table method from April to October 2022. The women in control group received routine pelvic floor muscle training for three months, and the women in study group received external magnetic wave pelvic floor therapy combined with routine pelvic floor muscle training for three months. The Glazer score of pelvic floor electromyography, the pelvic floor dysfunction situation, the postpartum complications rate, the pelvic floor muscle fiber fatigue status, the vaginal dynamic pressure value, and the postpartum urine leakage situation of the women were compared between the two groups. Results: The maximum value of fast muscle contraction, the mean value of slow muscle contraction of 10s and 60s of the women in both groups after treatment had increased significantly, and which of the women in the study group were significantly higher than those of the women in the control group. The scores of pelvic floor disorders impact questionnaire(21.99±4.38 points) and the pelvic floor dysfunction scale(19.24±5.57 points) of the women in the study group were significantly lower than those(30.84±4.65 points and 28.53±4.88 points) of the women in the control group. The total incidence(9.8%) of postpartum complications, such as lower abdominal distension, constipation, and frequent urination, of the women in the study group was significantly lower than that(37.3%) of the women in control group, and the improvement of muscle fiber fatigue index and vaginal dynamic pressure of the women in the study group were significantly better than those of the women in the control group. The stress incontinence scores of the women in the second day after treatment(5.17±0.84 points), in the 10th week after treatment(4.86±0.42 points), and in the 3rd month after treatment(3.15±0.34 points) in the study group were significantly lower than those(6.66±1.12 points, 5.54±0.62 points, and 4.73±0.55 points) of the women in the control group(all P＜0.05). Pearson correlation analysis showed that the pelvic floor muscle function of the women with vaginal delivery was negatively correlated with their stress urinary incontinence. Conclusion: The pelvic floor therapy of the women with vaginal delivery by external magnetic wave can promote their recovery of pelvic floor muscle function effectively, can decrease the incidence of their postpartum complications, and can improve muscle fiber fatigue and vaginal dynamic pressure significantly, with significant efficacy and safety of treatment.
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